Department of Midwifery

Pregnancy, childbirth and relevant cares (3)

Title: Pregnancy, childbirth and relevant cares (3)

Prerequisite: Pregnancy, childbirth, and relevant cares (2)

Duration: 51 hours

Type of Course: Theory

Target group: Midwifery students (BSc)

Setting: School of nursing and midwifery

Professors: Sedighe Yousefzadeh, Sedighe Azhari (This email address is being protected from spambots. You need JavaScript enabled to view it.)

 

General Goals:

Providing learning opportunities to obtain the required knowledge and skills to:

1.     Detect abnormal pregnancies, and their prevention and treatment methods

2.     Detect abnormal cases in childbirth, management of maternal, fetal, and neonatal complications in abnormal labors

Learning Behavioral Goals (Part I):

At the end of the program, students are expected to:

1.     Define miscarriage.

2.     Know the signs and symptoms of miscarriage.

3.     Explain the diagnosis, prevention, treatment, and cares relevant to miscarriage.

4.     Define cervical dysfunction.

5.     Express causes and symptoms of cervical dysfunction.

6.     Elaborate on the diagnosis, prevention, treatment, and cares relevant to cervical dysfunction.

7.     Express causes and symptoms of trophoblastic diseases.

8.     Elaborate on the diagnosis, prevention, treatment, and cares relevant to trophoblastic diseases.

9.     Define polyhydramnios.

10.   Elaborate on diagnosis, prevention, treatment, and cares relevant to polyhydramnios.

11.   Know oligohydramnios disorders.

12.  Define high blood pressure during pregnancy.

13.   Explain causes and symptoms of high blood pressure disorder during pregnancy.

14.   Elaborate on the diagnosis, prevention, treatment, and cares relevant to high blood pressure complications.

15.   Define placenta previa.

16.   Express causes, symptoms, diagnosis, prevention, treatment, and cares related to placenta previa.

17.   Define abruptio placentae.

18.   Elaborate on the causes, symptoms, diagnosis, prevention, treatment, and cares related to abruptio placentae.

19.   Define blood coagulation disorders in pregnancy.

20.   Express causes, symptoms, diagnosis, prevention, treatment, and cares related to blood coagulation disorders.

21.   Elaborate of the definitions, causes, symptoms, diagnosis, prevention, treatment, and cares related to various types of fetal intrauterine growth disturbances.

22.   Explain the definition, causes, and symptoms related to premature birth.

23.  Express the diagnosis, prevention, treatment, and cares related to premature birth.

24.   Elaborate on the definition, causes, and symptoms related to prolonged pregnancy.

25.  Express the diagnosis, prevention, treatment, and cares related to prolonged pregnancy.

26.  Define the definition, causes, and symptoms related to premature rupture of fetal membranes.

27.  Elaborate on the definition, causes, and symptoms related to premature rupture of fetal membranes.

Learning Behavioral Goals (Part II):

At the end of the course, students are expected to:

28.   Explain management and diagnosis of dystocia with origin of uterine contractions.

29.   Explain dystocia diagnosis using WHO partograph and Friedman's curve.

30.   Explain the second stage of prolonged labor management.

31.   Explain labor management in abnormal fetal presentation (facial, forehead, shoulder, and mix presentations).

32.   Explain labor management in occiput posterior and transverse

33.   Explain dystocia due to fetal abnormalities.

34.   Explain management of breech presentation and shoulder dystocia.

35.   Explain dystocia management due to soft tissues.

36.   Explain dystocia due to aperture of the pelvis (inlet, mid and outlet).

37.   Explain modern and new methods of evaluating fetal health during pregnancy.

38.   Define applications of forceps and vacuum (indications, contraindication, required conditions before use, maternal and fetal complications).

39.   Explain different types of C-sections and relevant cares.

40.   Explain natural childbirth following C-section.

41.   Explain labor induction procedures.

42.   Describe disorders caused by maternal and fetal blood incompatibilities.

43.   Elaborate on management of multiple pregnancy and labor.

44.   Explain labor management in umbilical cord prolapse, emboli, amniotic fluid, uterine inversion and rupture.

Content and Its Order of Presentation (Part I):

Session

Date

Subject

Professor

1st

9/21/2010

1.     Introduction to the course, generalities of dystocia, detection of dystocia through Friedman's curve

Azhari

2nd

9/28/2010

Suspension and hang disorders, and various types of uterine operations

Azhari

3rd

10/5/2010

Presentation of face, forehead, and mix, and constant occiput posterior and transverse

Azhari

4th

10/12/2010

Shoulder dystocia, macro zoomy, dystocia due to fetal abnormalities

Azhari

5th

10/26/2010

Dystocia due to pelvic stenosis

Azhari

6th

11/2/2010

Dystocia due to soft tissue

Azhari

7th

11/9/2010

Breech presentation

Azhari

8th

11/16/2010

Different labor induction methods

Azhari

9th

11/23/2010

Mid-term exam, RH incompatibilities

Azhari

10th

 

11/30/2010

Methods of evaluating fetal health during pregnancy

Azhari

11th

12/7/2010

Multiple pregnancy

Azhari

12th

12/14/2010

Vacuum and forceps

Azhari

13th

12/21/2010

C-section

Azhari

14th

12/28/2010

Midwifery emergencies

Azhari

 

Content and Its Order of Presentation (Part II):

Session

Date

Subject

Professor

1st

9/29/2010

Introduction to the course, generalities of miscarriage and its causes and symptoms

Yousefzadeh

2nd

10/6/2010

Miscarriage (diagnosis, prevention)

Yousefzadeh

3rd

10/13/2010

Miscarriage (treatment, cares), ectopic pregnancy

Yousefzadeh

4th

10/19/2010

ectopic pregnancy

Yousefzadeh

5th

10/20/2010

Trophoblasts diseases in pregnancy

Yousefzadeh

6th

10/27/2010

late-pregnancy bleeding (abruption)

Yousefzadeh

7th

11/3/2010

late-pregnancy bleeding (placenta previa

Yousefzadeh

8th

11/10/2010

Midwifery bleeding management

Yousefzadeh

9th

11/17/2010

Placenta and fetal membrane disorders

Yousefzadeh

10th

11/24/2010

Blood pressure disorders in pregnancy

Yousefzadeh

11th

12/1/2010

Blood pressure disorders in pregnancy

Yousefzadeh

12th

12/8/2010

Premature birth and premature rupture of membranes

Yousefzadeh

13th

12/15/2010

Intrauterine growth disorders

Yousefzadeh

14th

12/22/2010

Prolonged pregnancy

Yousefzadeh

 

Teaching Methods:

Considering the mentioned behavioral goals, teaching methods of this course include programed lectures, question and answer, group discussion, team member teaching design (TMTD), and restatement of issues.

Responsibilities of Students:

·         Active and regular presence in class and avoidance of unjustified absence

·         Pre-studying based on predetermined subjects and references

·         Preparation for answering questions asked by professor at the beginning of each session

·         Active participation in class discussions

·         Perform tasks assigned by professor in each session and present them in a written form

Assessment of Students:

Evaluation of students will be in the form of developmental assessment during the course.

10% On-time presence and active participation in class

10% Class assignments and oral exam

30% Mid-term exam

50% Final exam in form of multiple choice and modifies essay questions  

References:

1.    Gary Cunningham, Norman Gant “Williams’s obstetrics”. Mc Graw –Hill: 2010.

2.    Helen Varney “Varney’s Midwifery”. Co: Jones and Bartlett publishers: 2004.

3.    James Scott Philip Disain, Charles Hammond, Williams Spellacy “Danforth’s Obstetrics Gynecology”. Co: Lippincott Willims & Wilkins: 2008.

4.    Martin Pernoll “Current Obstetrics & Gynecologic Diagnosis and Treatment”. Co: Prentice– Hall international Inc: 2007.

5.      Rath Benneth, Lind Brown “Myles Textbook for Midwives”. Co: Churchill living stone: 2009. 

6.                Gabee: “Obstetrics: Normal and Problem Pregnancies”. 5thEd. Churchill Livingstone; An In print of Elsivier: 2007.